Phan Thi Van- phanvan@ria1...o Build up capacity on AMU and AMR o Systematic baseline survey on AMU...

transcript

CHALLENGE ON ANTIMICROBIAL USE AND

ANTIMICROBIAL RESISTANCE IN AQUACULTURE: AN

EXPERIENCE FROM VIETNAM

Phan Thi Van- phanvan@ria1.orgAquatic AMR Workshop 1: 10-11 April 2017, Mangalore, India

FMM/RAS/298: Strengthening capacities, policies and national action plans on

prudent and responsible use of antimicrobials in fisheries

CONTENT

1. Aquaculture in Vietnam

2. The main sources of antimicrobials in aquaculture

system

3. Impact of AMU and AMR

4. Regulations on AMU, AMR and its implimentation

5. Recommendations

1. AQUACULTURE IN VIETNAM

Aquaculture production of Vietnam

Source: D-Fish

Area of aquaculture in Vietnam

Source: D-Fish

20002001200220032004200520062007200820092010201120122013201420152016

000 Ha

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Value of the Vietnamese seafood export

Source: D-Fish

The challenges

• Many aquaculture species

• Large area of aquaculture

• Many aquaculture systems

• Tropical and subtropical climates

• Many levels of investment: large-, medium- and

small-scale

2. THE MAIN SOURCES OF ANTIMICROBIALS IN

AQUACULTURE SYSTEM

From direct use of antimicrobials

• Disease prevention

• Disease treatment

• Seed

• Feed

• Postharvest

From other uses of antimicrobials

• Residues from other users

• Holding water for seed transportation

• Human waste

Antimicrobial products in aquaculture

• To date, Vietnam has 814 products (drug, chemical and

vitamin) registered of which:

o 12.9% products from import

o 216 products contain antimicrobials (DAH,2017)

• In 2012, there were 223 products contain antimicrobial

(Mai 2012)

The challenges

• Too many sources of antimicrobial in aquaculture system

• Uncontrolled sources of antimicrobial residues in

aquaculture environment

• Too many products containing antimicrobials

• Irresponsible use of antimicrobials

• Antimicrobials appear in all stages of aquaculture

production: from seed to post harvest

3. REGULATIONS ON AMU, AMR AND ITS IMPLEMENTATION

Existing regulations

• Fisheries law

• Veterinary law

• 2 Decrees on AMU and AMR

• 11 Circulars of MARD on disease control, AMU & AMR

• 20 official letters by MARD to direct and enforce

controlling of AMU & AMR

Existing regulation

• National Steering Committees for AMU and AMR, MARD

• “Multi-stakeholder Engagement to combat AMR in

Vietnam’ by MoH, MARD and MONRE

• Banned list of antibiotic use in aquaculture (24 antibiotics)

The implementation

Diferent level of following regulations:

• Big companies vs small scale farmers

• GoV companies/hatcheries vs private companies/hatcheries

• Foreigner invested farms/hatcheries vs Domestic

farms/hatcheries

• Exporting farm vs domestic farm

Antimicrobial use in aquaculture in Hai phong

and Nghe an provinces in 2015

ial (%

Hải Phòng Nghệ An

Prevention Treatment

Antimicrobial use in aquaculture in Hai phong and

Nghe an provinces in 2015

Applied method Effectiveness

Antimicrobial use in aquaculture in Hai phong

and Nghe an provinces in 2015

• Dosage:

o Following drug company (**)

o Following own experience (***)

o Following Vet/aquatic animal health officer (*)

o Using antimicrobial at difference dosage for the same

disease: Doxycycline, Tetracycline, Oxytetracycline, Enrofloxcin

were used at 2kg/1000m3 or 1kg/1000m3 or 0,5kg/1000m3 to

spray to shrimp pond.

The challenges

• Too many regulations

• Long regulations

• No recommended/allowed list used for animals

• Very easy to access chemicals even human

antimicrobials.

• No standard on dosage, applied methods

4. THE IMPACT OF AMU AND AMR

Overall impact of AMU and AMREnvironment

Animal

Impact on public health

The exact public health impact of AMR in Vietnam is unknown

but…...

• High level of AMR, is increasing over time (GARP, 2010;

Nguyen et al., 2013)

• 43.8% ESBL (extended-spectrum beta-lactamase)

producing bacteria amongst hospitalized patients

• 81% ESBL amongst Enterobacteriaceae in intensive care

units in HoChiMinh city(Kiratisin et al., 2012).

• Resistance to fluoroquinolones in Salmonella typhi isolates

increased from 4% to 97% during 1993-2005 (Chau et al.,

2007).

• Increase in tetracycline and chloramphenicol resistance

• Occurrence of multi-drug resistance seen in Streptococcus

suis from 1997-2008 associated with agricultural

antimicrobial use (Hoa et al., 2011).

The impact on seafood export

Reason for Vietnam seafood shipments rejected by importers in 2016

Antibiotic26%

Bacteria conta.20%

Other54%

Impact on seafood export

Antibiotic EU Korea Japan Australia USA Total

Total 10 2 32 3 11 58

CAP 5(Sq, F) 11 (S) 16

AOZ 2 (S) 08 (S) 10

SEM 3(P) 3

Enrofloxacin 14 (S) 3(F, S) 17

Tetracycline gr 4 (S) 4

Doxycycline 2 (S) 2

Sulfamid 5 (S) 5

Azithromycin 1(F) 1

Vietnam seafood shipments rejected by importers due to antibiotic residue in

2016 (NAFIQUAD)

AMR of Vibrio alginolyticus

3.5Erythromycin

Rifamycin

Sufamethoxazole+Trimethoprim

Tetracyclin

Oxytetracyclin

2004 2005 2006 2013 2014

Inhibition zone diameter

3Rifamycin

Doxycycline

OxytetracyclinTetracyclin

Erythomycin

2013 2015 2016 2017

AMR of Aeromonas hydrophila

Inhibition zone diameter

5. RECOMMENDATIONS

Recommendation on regulations

• Summary of regulations on AMU and AMR into a specific format

that is short and easy to understand by the farmers

• The use of recommended/allowed list of antimicrobials in

aquaculture

• Regulation on that use of antimicrobials needs a pharmaceutical

prescription by an authorized and educated professional both for

human and animal purpose

• National Action Plan inplace and implimented

o Farmer awareness on antimicrobial use and resistance

o Build up capacity on AMU and AMR

o Systematic baseline survey on AMU and AMR for better

surveillance, mornitoring and control

o Apply VietGAP standard.

o Alternative to antimicrobials such as herbal, probiotic use

o Multi-displine work

Recommendation on awareness and techinical issue

ACKNOWLEDGEMENT

• FAO

• NITTE University

• MARD

• Vietnam country delegate

THANK YOU FOR YOUR ATTENTION

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